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Showing results for "adverse event".
Users also searched for: patient safety indicators

  1. Assessing the relationship between patient safety culture and EHR strategy. | PSNet

    psnet.ahrq.gov/issue/assessing-relationship-between-patient-safety-culture-and-ehr-strategy
    December 21, 2018 - November 16, 2022 Adverse events after screening and follow-up colonoscopy. … and Administrators Organizational Behaviorists Hospital Medicine Epidemiology of Errors and Adverse

  2. Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive study in 5 teaching hospitals. | PSNet

    psnet.ahrq.gov/issue/support-healthcare-professionals-after-surgical-patient-safety-incidents-qualitative
    June 15, 2022 - from experience: a qualitative study of surgeons' perspectives on reporting and dealing with serious adverse … June 28, 2023 Coping and recovery in surgical residents after adverse events: the second

  3. A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical centers. | PSNet

    psnet.ahrq.gov/issue/cross-sectional-study-relationship-between-utilization-root-cause-analysis-and-patient-safety
    January 11, 2017 - Conversely, VA facilities that performed fewer than four RCAs per year had significantly higher rates of adverse … 2012 Policy and practice in the use of root cause analysis to investigate clinical adverse

  4. Outcomes in two Massachusetts hospital systems give reason for optimism about communication-and-resolution programs. | PSNet

    psnet.ahrq.gov/issue/outcomes-two-massachusetts-hospital-systems-give-reason-optimism-about-communication-and
    December 19, 2018 - July 14, 2010 When Things Go Wrong: Responding to Adverse Events. … Topic Hospitals Facility and Group Administrators Medicine Epidemiology of Errors and Adverse

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36758/psn-pdf
    August 10, 2011 - analyzed transfusion-related near-miss data and found that near misses occur more frequently than adverse

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44076/psn-pdf
    May 19, 2018 - psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  7. Pressure Injury Prevention in Hospitals Training Program. | PSNet

    psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program
    May 01, 2017 - January 24, 2018 Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs … Hospitals Health Care Providers Medicine Pressure Ulcers Epidemiology of Errors and Adverse

  8. Toolkit To Improve Antibiotic Use in Acute Care Hospitals | PSNet

    psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-acute-care-hospitals
    October 23, 2019 - May 1, 2017 Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. … November 25, 2020 Adverse medication events related to hospitalization in the United

  9. The Best Practice: How the New Quality Movement Is Transforming Medicine. | PSNet

    psnet.ahrq.gov/issue/best-practice-how-new-quality-movement-transforming-medicine
    July 31, 2019 - July 5, 2008 View More Related Resources Adverse Health Events … Evolution of Patient Safety Teamwork Training February 28, 2024 Consumer Guide to Adverse

  10. Improving Safety and Security for Veterans Act of 2020. | PSNet

    psnet.ahrq.gov/issue/improving-safety-and-security-veterans-act-2020
    March 25, 2020 - August 1, 2007 Requires DHSS to make reported information about certain adverse events … About The Topic Hospitals Ambulatory Care Policy Makers Epidemiology of Errors and Adverse

  11. Get the Medications Right Institute. | PSNet

    psnet.ahrq.gov/issue/get-medications-right-institute
    March 12, 2016 - March 27, 2005 Safety climate associated with adverse events in nursing homes: a national … January 18, 2006 The Shift Coupon: an innovative method to monitor adverse events.

  12. Over-the-counter medicines' benefits and dangers. | PSNet

    psnet.ahrq.gov/issue/over-counter-medicines-benefits-and-dangers
    August 05, 2008 - December 10, 2014 Diagramming patients' views of root causes of adverse drug events in … More See More About The Topic Patients Pharmacy Medication Errors/Preventable Adverse

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45871/psn-pdf
    January 01, 2019 - The relationship between safety culture and voluntary event reporting in a large regional ambulatory … The Relationship Between Safety Culture and Voluntary Event Reporting in a Large Regional Ambulatory … https://psnet.ahrq.gov/issue/relationship-between-safety-culture-and-voluntary-event-reporting-large- … regional-ambulatory Detection of adverse events is particularly challenging in ambulatory settings … These results suggest that safety culture promotes reporting of adverse events.

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45714/psn-pdf
    December 20, 2017 - US emergency department visits for outpatient adverse drug events, 2013–2014. … US Emergency Department Visits for Outpatient Adverse Drug Events, 2013-2014. … Adverse drug events (ADEs) in outpatient settings can cause significant morbidity and mortality. … Drug Event Prevention. … https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37701/psn-pdf
    February 22, 2011 - Use of a handheld computer application for voluntary medication event reporting by inpatient nurses … Use of a handheld computer application for voluntary medication event reporting by inpatient nurses … https://psnet.ahrq.gov/issue/use-handheld-computer-application-voluntary-medication-event-reporting- … by low clinician reporting rates and the fact that they identify a relatively small percentage of adverse … rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals https://psnet.ahrq.gov/issue/confidential-clinician-reported-surveillance-adverse-events-among-medical-inpatients

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34845/psn-pdf
    June 30, 2011 - The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near … misses and adverse events. … The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near … misses and adverse events. … https://psnet.ahrq.gov/issue/jcaho-patient-safety-event-taxonomy-standardized-terminology-and- classification-schema-near

  17. Examining the validity of AHRQ's Patient Safety Indicators (PSIs): is variation in PSI composite score related to hospital organizational factors? | PSNet

    psnet.ahrq.gov/issue/examining-validity-ahrqs-patient-safety-indicators-psis-variation-psi-composite-score-related
    November 10, 2010 - drug event triggers designed for the outpatient setting. … September 25, 2019 Consensus building for development of outpatient adverse drug event … August 4, 2015 Using estimated true safety event rates versus flagged safety event rates … June 25, 2014 Using AHRQ Patient Safety Indicators to detect postdischarge adverse events … August 21, 2013 National trends in hospital-acquired preventable adverse events after

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35889/psn-pdf
    March 10, 2011 - Automated surveillance for adverse drug events at a community hospital and an academic medical center … Automated surveillance for adverse drug events at a community hospital and an academic medical center … https://psnet.ahrq.gov/issue/automated-surveillance-adverse-drug-events-community-hospital-and- academic-medical-center … This study determined that an automated adverse drug event (ADE) surveillance system captured higher … event rates than did existing voluntary systems, particularly in a community setting.

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38935/psn-pdf
    March 01, 2017 - December 23, 2016 Sentinel Event Alert. August 27, 2009;(43):1-3. … striving to achieve high reliability status—consistently providing high quality care while minimizing adverse … In this sentinel event alert, the Joint Commission calls for senior health care leaders to establish … addressing errors at the sharp end, and maintain robust structures for analyzing and responding to adverse … This Sentinel Event Alert was retired in March 2017.

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47189/psn-pdf
    August 17, 2018 - Association of opioid-related adverse drug events with clinical and cost outcomes among surgical patients … Association of Opioid-Related Adverse Drug Events With Clinical and Cost Outcomes Among Surgical Patients … https://psnet.ahrq.gov/issue/association-opioid-related-adverse-drug-events-clinical-and-cost-outcomes … drug event during their admission. … Patients who experienced an opioid-related adverse drug event had longer hospital stays, greater inpatient
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